Provider Demographics
NPI:1942613039
Name:HART, KARI KISHIN LINDAHL (MSW, CSWA, CGACI)
Entity Type:Individual
Prefix:MS
First Name:KARI
Middle Name:KISHIN LINDAHL
Last Name:HART
Suffix:
Gender:F
Credentials:MSW, CSWA, CGACI
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:TRESA
Other - Last Name:MEISER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NONE
Mailing Address - Street 1:PO BOX 1189
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97339-1189
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3509 NW SAMARITAN DR
Practice Address - Street 2:SUITE 215
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3893
Practice Address - Country:US
Practice Address - Phone:541-768-5235
Practice Address - Fax:541-768-5201
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-05
Last Update Date:2021-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA32501041C0700X
ORL68781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500696776Medicaid